IMMANUEL LUTHERAN CHURCH
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CHILD'S INFORMATION
*
Indicates required field
Child's name
*
Enter your child's first, middle, and last name as you would like it to appear on the baptismal certificate.
Birthdate
*
CIty and State of Birth
*
Gender Identification
*
Male
Female
Other
If your child does not identify as male or female, please select other.
Desired date of Baptism
*
PARENT'S INFORMATION
Father's Name
*
Father's Address
*
Line 1
Line 2
City
State
Zip Code
Country
Father's email
*
Mother's Name
*
Maiden Name, if applicable
*
Mother's Address, if different than father's address
*
Line 1
Line 2
City
State
Zip Code
Country
Father's Phone Number
*
Best Method of Contact
*
Father's email
Mother's email
Father's phone
Mother's phone
When is the best time to call?
*
Mother's email
*
Mother's Phone Number
*
SPONSOR'S INFORMATION
Sponsor's Name
*
Sponsor's Name
*
Additional Sponsors (optional)
*
Submit
HOME
FAITH PRACTICES
CHURCH USAGE FEES
HISTORY
PUBLICATIONS
WORSHIP
DONATE
GET INVOLVED
CONTACT
Link Page